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76- State of Oregon <br /> • Department of Consumer and Business Services <br /> VIA*4 : Building Codes Division <br /> N •1k16-1;211. 1535 Edgewater St NW <br /> ,' Mailing Address:PO Box 14470 • <br /> Salem,OR 97309-0404 <br /> • (503)378-4530,FAX(503)378-4101,TTY(503) <br /> Web:mhods.oregon.gov Emall:mhods.bcd@oregon.gov <br /> Manufactured Structure Transportation Permit <br /> 19-03914-TRIP it• 3 51 5i3 <br /> This permit authorizes a qualified transporter to move the Identified sections of the Identified home to a destination site within the state of <br /> Oregon. The section move must occur between the Issue Date and Expiration Date specified on this permit. This permit must <br /> be carried by the transporter during the actual move.This permit authorizes movement of all home sections Identified. <br /> Issue Date:4/29/19 Not Valid After Expiration Date: 5/29/19 <br /> Applicant: JERTBERG, RANDY Phone: (541) 884-2244 <br /> 19515 WEBBER RD Email: LMJERTBERG@GMAIL.COM <br /> KLAMATH FALLS, OR 97603 <br /> Home Information: <br /> • <br /> Home ID: 397471 • <br /> Manufacturer: GUERDON HOMES INC Model: S7-56541 <br /> Section Serial Number HUD Number <br /> 1 UNKNOWN ORE-376736 <br /> 2 UNKNOWN ORE-376737 <br /> Original 414 W Columbia DR County: Yamhill <br /> Address: NEWBERG, OR 97132 <br /> Destination 2917 N PACIFIC AVE County: Marion <br /> Address: WOODBURN, OR 97075 <br /> Transporter: DOUG'S MOBILE HOME SERVICE Phone: (503) 799-0539 <br /> Email: UNKNOWN <br /> • <br /> :• <br /> r. <br /> • <br /> • <br /> • <br /> • <br /> 4/29/1910;30 pm Page 1 of 1 C:\myReports/reports//production/01 <br /> STANDARD REPORTS/std Trip_Permlt_pr.rpt <br />